The shift to value from fee-for-service in health care was already progressing slowly before COVID-19 overtook the US. In the spring, the pandemic has all but halted elective care, laying bare the vulnerability of a volume-based model, as well as emphasizing the importance of revenue predictability. In this week’s episode, Sg2’s Principal Jim Reilly and Associate Principal Brian Esser discuss the tough decisions health systems must make regarding participation in and preparation for value-based models.